Individual
ANA IVY DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2171
MN
367500000X
Certified Registered Nurse Anesthetist
9979
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/28/2017
Last updated
10/13/2020
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